Daily Archives: 10/12/2014

UK Liver disease crisis

This is a brilliant infographic produced by The Lancet (Click the infographic for the full-size image)

lancet-liver-disease-infographic_lrg

It’s been designed to support their commission into liver disease and you can read the full report here: http://www.thelancet.com/commissions/crisis-of-liver-disease-in-the-UK

This is a heavy weight document from a heavy weight group of professionals and is supported by:

  • British Liver Trust
  • Royal College of General Practitioners
  • Foundation for Liver Research
  • Children’s Liver Disease Foundation
  • Royal College of Physicians
  • British Assocation for the Study of the Liver (BASL)
  • British Society of Gastroenterology

This SHOULD be impossible for the Govt to ignore.

Here are their key message and 10 key recommendations:

  1. Strengthen detection of early liver disease and its treatment by improving the level of expertise and facilities in primary care
  2. Improve support services in the community setting for screening of high-risk patients
  3. Establish liver units in district general hospitals to be linked with 30 specialist centres regionally distributed, for availability of highly specialised investigations and
    treatment
  4. A national review of liver transplantation services to ensure better access for patients in specific areas of the country; provide sufficient capacity for the anticipated increase in availability of donor organs
  5. Strengthen continuity of care in transition arrangements for the increasing number of children with liver disease surviving into adult life
  6. Implement a minimum price per unit, health warnings on alcohol packaging, and
    restriction of alcohol advertising and alcohol sales
  7. Promotion of healthy lifestyles to reduce obesity in the country and its results on
    health; governmental regulations to reduce sugar content in food and drink; use of
    new diagnostic pathways to identify people with non-alcoholic fatty liver disease
  8. Eradication of infections from chronic hepatitis C virus in the UK by 2030 using
    antiviral drugs; reduce the burden of hepatitis B virus; target high-risk groups for these viruses, including immigrant communities; use of a universal six-in-one vaccination for infants for hepatitis B
  9. Increase provision of medical and nursing training in hepatology and wider
    educational opportunities for health-care professionals to increase the number of
    doctors and nurses in hospitals and primary care
  10. Increase awareness of liver disease in the general population with a national campaign led by National Health Service (NHS) England; clinical commissioning groups increase awareness in area health teams

The link above to The Lancet also has a 12 min audio where the authors of the Commission outline the priorities for better prevention and treatment of liver disease in the UK.

What do  you think of their key messages?

Edited to add: 24/11/15 Update to Lancet Commission one year on

Implementation of the Lancet Standing Commission on Liver Disease in the UK – Open access